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HomeMy WebLinkAbout1081 - ~ 2'7i59'7 ~ _ , I,~ a } -i f'~~~~ ~t~ i-a 1~.~~~~-•~ ~ ct. f•! l'.; , 1 i..f ~ i ~ 1 i ~ i L ~ L 1+~~ ~ L . ~v~ ~ a i• : ~ i ~ ~ ~ t. ~ . • u i. - ~ M S . , i~ . ~~~o i?, s~rn~~j: nr~u cou~•1~~~ •rAX ASSI:SSOIt, ' ~ h ~ _ST. Li).CIE ~_CUUN'1'l';~I'I.URIUA: . ~ ~ '1'his is my clccl;ir.iiion" ot Uomicitc 111(I CIUZCIISIit~7 in thc Statc of l~loricl.~ ihai 1 a~» fili~~f; tliis day i~i . accorda~icc, and i~i conforniity ~4•itl~ Scction 2~2,17, 1~la-ida St:~ttitcs. 1 was forrt~crly a Icgal residci~t oP ~J'~e n~' ~i , AR~~ A~:r i~ and I • ~.:.:'Z • ' (Cilr) (stale) ~c~ided at ~s~s ~~~'r~ ~C6`A n ' . Howcvcr, I havc chan4;cd my domicilc to . ' ~ (Strtel an T~umber) ~ a~~d am and l~avc bccn a Uona ficic residcnt of the Statc of l~lorida sincc -~j rr day of~ 1)Fc~~~ ri~~z , 19~,' and I residc at ~o H~ ~iC'Ati'Fo ~r.q r~ : (Strcct and Mumbcr) ;~P ~7" ST ~~~c's' ST. LUCI7= Cowity, I~loricla, (Ctity) and this staten~ent is to be taken as my declaration of citizenship, actual lega! residence and domicilc in the State of rlorida. - , i . ~ ~ _ (Insert here any pertinent tacls, such as sale of properly or busincss. or telinquish~nent of employment at formet domicile. removal ot family to new domicile~ pwct~ase ot home, etc.) ~ . i; ~ _ - . . , . ~ f . - • _ • . ' . _ . ~ . . . . - . . . • t ' . ~ • ~ - ' ~ . . . , - ..Applying for home~tead . . , . . . . _ , ~ ~ _ - - . ~ - : ~ . . . . . : - Entering children in schooZ ; . - - = ~ . ~ - ~ ~ . ~ ~ . . . ~ _ . . ~ ~ . ~ Other: - . . - : . `~~~Y~~~:. . . ~ • - . . . ~ - - ~ . - ~ -~cra ~ ~R.!t: .C ~ _ - - . • • ~~j.~..., ~ ~ _ - ' - - _ " . ~ : . - . . - R~COA~y~-c~ 1FD -~~1lRT..l~' _ ' - - - , ' - : . . . _ . _ . ~ ~ . . . : . . : . - : ~ . ~f- ~ 1 , - . - . ; . . . . - . . . . _ - - - : _ - . t#_~--~3 . _ + . - ~ : ~ ~7 . _ ~ . . . . - , : ..~~9~- ~ _ ~ . - . - -:..__r ~ . : . . . . ~ - : ~ . - ~ . . . . . - - ~ : . ~ . - ~ - - . , ' - - . - - . : - : : ~ ; _ . . - - _ . : - . - . - . ~ E ' - ~ ~ . . . . ~ . ~ - - ~ . ~ . ~ ~ . . . ~ - . i 'i ~ " ~ . . • . . . - . . . " ' ' - . _ ' . _ j - . . ' • • ' . ' . . • . _ ' • • ` . . ' . . . . - . ~ . - ~ ' ' ; ~ f . ' . - ' . . ' • ' • ~ L " ~ . ~ f I FURTIl1:IZ CERTI~Y that 1 will registcr at my local address whcn thc rcp,istration books rcopen, and ~ comply ~viih aU othcr rcquircmcnts of a lcgal residcnt of this Statc. - - - r ~ • 1 rURTIICIt C~2TI~Y that I liave no intention to return to my_ former domicile, and I intcnd to remain in ; - ~ , e~~ s7 ,C i~c~~r ~ St~.~ Lucie , Couniy, I~loricla, pcrmancntly. . i . , . ± ; ~ , iT - . ~ ~ ; ; : ; p ~ ~ . ~ y~u:' G~ _ _ ~ P-c~-t c_~ ~ ~ : _ _ y (Namc) _ = } : fv { y . ~ . ~ ~ ~ = ' , ~ ~ N ^ _ ~ _ ~cv-sZ ` - : • ~ Addre~.) ~ . • Q ~ ~1 5/ ~ G "~::_~j ,.~v: , cc+~~j • ,2~ ~rot~~yi~~~d:st~~~r~l~~e~.bcforc n~c 11~is day of _ r,f~rrh~- { ~ ~ - ' - - Fuftttlt~; . C G • U, I ~ . ~ ~-i pt . ~ i:UC~LI~ I'OI`l`I;f,~, CT_l;ltl: CTI~CUIT COUR7' 600lc(+~~r, fA~;f~V01 ; ~,.r . t: ~ ~ _ ~ _ _ . . . g ~ 3+ y t j ~sR . r ..a... _ ~n~ m~. . . : V ~ ~ _ 8